scholarly journals TO COMPARE THE TYPE OF WOUND INFECTION OF SINGLE DOSE VERSUS CONVENTIONAL (MULTIPLE DOSES) ANTIBIOTIC USE IN LAPAROSCOPIC CHOLECYSTECTOMY IN TERMS OF TYPE OF SSI (SUPERFICIAL INCISIONAL SSI OR DEEP INCISIONAL SSI)

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Mehar Chand ◽  
A.K. Malhotra ◽  
U.K. Chandel ◽  
Kartik Syal ◽  
Bhartendu Nagesh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Dose ◽  
Wound Infection ◽  
General Surgery ◽  
Antibiotic Use ◽  
Wound Sepsis ◽  
Medical College ◽  
Multiple Doses ◽  
Gandhi Medical College

Background: To compare the type of wound infection of single dose versus conventional (multiple doses) antibiotic use in laparoscopic cholecystectomy in terms of SSI Methods: This study was carried out in the department of General Surgery Indira Gandhi Medical College Shimla (H.P.) on patients admitted with radiologically proven cholelithiasis. Results: In SD group out of 03 patients who developed wound sepsis all were having Superficial incisional SSI and in C group also all patients (02) who developed wound sepsis had superficial incisional SSI. Conclusion: The type of infection wise difference in both groups was found insignificants. Keywords: Superfical, Deep, Gallstone, Wound sepsis

scholarly journals TO COMPARE THE EFFICACY OF SINGLE DOSE VERSUS CONVENTIONAL (MULTIPLE DOSES) ANTIBIOTIC USE IN LAPAROSCOPIC CHOLECYSTECTOMY IN TERMS OF SSI

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Mehar Chand ◽  
A.K. Malhotra ◽  
U.K. Chandel ◽  
Kartik Syal ◽  
Bhartendu Nagesh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Dose ◽  
General Surgery ◽  
Antibiotic Use ◽  
P Value ◽  
Wound Sepsis ◽  
Medical College ◽  
Multiple Doses ◽  
Gandhi Medical College

Background: To compare the efficacy of single dose versus conventional (multiple doses) antibiotic use in laparoscopic cholecystectomy in terms of SSI Methods: This study was carried out in the department of General Surgery Indira Gandhi Medical College Shimla (H.P.) on patients admitted with radiologically proven cholelithiasis. Results: In SD group of patients out of 50 patients, 03 patients (6%) developed wound sepsis and in C group 02 patients (4%) developed wound sepsis. P value was 0.65 which is statistically insignificant. Conclusion: The wound sepsis wise difference in both groups was found insignificants. Keywords: Single dose, Conventional, Gallstone, Wound sepsis

scholarly journals Single dose versus multiple dose antibiotics in laparoscopic cholecystectomy: A prospective comparative single blind study

2019 ◽  
Vol 5 (1) ◽  
pp. 11-15
Author(s):  
Ashok Koirala ◽  
Dipendra Thakur ◽  
Sunit Agrawal ◽  
Bhuwan Lal Chaudhary
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Dose ◽  
Surgical Site Infection ◽  
Multiple Dose ◽  
Randomized Study ◽  
Prophylactic Antibiotics ◽  
Site Infection ◽  
Medical College ◽  
Symptomatic Cholelithiasis ◽  
Multiple Doses

Introduction: There is a controversy on single dose or multiple doses of prophylactic antibiotics for prevention of surgical site infection during laparoscopic cholecystectomy in a developing country setting. The objective of this study was to compare single versus multiple doses of prophylactic antibiotics in terms of surgical site infection in laparoscopic cholecystectomy patients. Methods: This was a prospective, comparative, randomized study was conducted in a medical college hospital. Two hundred consecutive patients with symptomatic cholelithiasis planned for routine laparoscopic cholecystectomy were enrolled in the study. Patients were randomly divided in a Single dose (SD) group and multiple dose (MD) group. SD group were given injection ceftriaxone (1gm) before induction of anesthesia and MD group received ceftriaxone (1gm) before induction of anesthesia and continued a total of 3 doses postoperatively for next 24 hours. Results: A total of 200 patients were studied, of which 100 were in single dose (SD group) and another 100 in multiple dose (MD group). The mean age of patients with symptomatic cholelithiasis was 41.76 ± 13.38 years with minimum of 16 years and maximum of 73 years. Of the total patients, 4 patients in single dose (SD) group and 3 patients in multiple dose (MD) group developed surgical site infection of various severity which was not statistically significant. (p=0.500). Conclusion: There is no difference in terms of surgical site infection in patients taking either single or multiple doses of antibiotics in laparoscopic cholecystectomy in a medical college setting in Nepal.

Frequency of port site infection following gall bladder removal through Epigastric vs Umbilical port.

2021 ◽  
Vol 28 (03) ◽  
pp. 277-281
Author(s):  
Bushra Shaikh ◽  
Imamuddin Baloch ◽  
Azhar Ali Shah ◽  
Abdul Sami Mirani ◽  
Parkash Lal Lund ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Wound Infection ◽  
Port Site ◽  
Site Infection ◽  
College Hospital ◽  
Medical College ◽  
Duration Of Surgery ◽  
Group A ◽  
Group B

Objective: To compare the frequency of port site wound infection following gall bladder removal through umbilical and epigastric port in laparoscopic cholecystectomy. Study Design: Randomized Control Trial. Setting: Surgical Unit 2, Ghulam Muhammad Mahar Medical College, hospital Sukkur. Period: 1st November 2019 to 30th October 2020. Material & Methods: All cases who underwent four port laparoscopic cholecystectomy were enrolled in two groups. All procedures were performed under general anesthesia. As the last event of surgery gall bladder was retrieved in a glove bag through umbilical port in group A and through epigastric port in group B, both under direct camera vision. Wound infection was considered if there was 3 to 5 grade of wound according to Southampton wound grading system (Figure-1) on 5th postoperative day. All demographics and outcome variables were recorded. Results: Age ranged from 20 to 60 years with mean age of 38.875±8.11 years, BMI 29.973±5.12 Kg/m2, duration of surgery 50.656±8.41 mins and Southampton score was 1.044±1.07 in Group A and mean age of 38.560±6.23 years, BMI 27.437±5.04 Kg/m2, duration of surgery 48.920±8.67 mins and Southampton score was 0.856±0.92 in Group B. In group A, 18 (5.7%)patients developed port site wound infection in contrast to 5 (1.6%) patients in group B (P= 0.006). Conclusion: We conclude that epigastric port retrieval of gall bladder following laparoscopic cholecystectomy results in less port site infection.

scholarly journals FOLLOW UP STUDY OVER A PERIOD OF SIX MONTHS WITH RESPECT TO REHABILITATION AND RECURRENCE AFTER BURN SURGICAL PROCEDURES.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Yashpal Ramole ◽  
Badri Patel ◽  
M. C. Songara ◽  
Ishant Chaurasia
Keyword(s):  
General Surgery ◽  
Range Of Movement ◽  
Rehabilitation Protocol ◽  
Full Extent ◽  
Medical College ◽  
Follow Up Study ◽  
Burn Surgery ◽  
Gandhi Medical College ◽  
Score Range

The study was conducted in the Department of General Surgery, Gandhi Medical College, Bhopal over the period of one & half year. Evaluation started with History and clinical examination including range of movement of joints. Scar was scored as per Clinical Assessment Score. Range of movement was measured using goniometer. Although most patients came for follow up and were compliant with the rehabilitation protocol, their compliance needs to be re-evaluated at every follow up and they should be encouraged to follow the advices strictly. Also they must be counseled that contracture may not be corrected to the full extent despite best of treatment and compliance with rehabilitation protocol but a good level of improvement can be achieved. Keywords: Burn, Surgery, Rehabilitation & Recurrence.

Frequency of Port Site Wound Infection with and Without End Gloves Techniques of Retrieval of Gallbladder in Pouch

2021 ◽  
Vol 15 (12) ◽  
pp. 3399-3401
Author(s):  
Naeem Ahmed ◽  
Maryum Saleem Raha ◽  
Uzma Shamim Seth ◽  
Mohammad Taha Kamal ◽  
Anum Nawazish Al ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Wound Infection ◽  
General Surgery ◽  
Port Site ◽  
Medical Institute ◽  
Conventional Laparoscopic Cholecystectomy ◽  
Conventional Laparoscopic ◽  
Group I ◽  
Significant Difference

Background: The gallbladder is a hollow organ that sits just beneath the right lobe of the liver. Chief functioning of gallbladder is to store gall, also known as bile that is required for digestion of food. Removing gallbladder through small incision in the abdomen is called laparoscopic cholecystectomy. Among benefits of cholecystectomy are decreased need for postoperative analgesia, decreased postoperative pain and shortened hospital stay from 1 week to less than 24 hours. Objective: To compare the frequency of port site wound infection with and without endogloves techniques of retrieval of gallbladder in pouch after laparoscopic cholecystectomy for chronic calculus cholecystitis. Design: It was a randomized controlled trial. Study Settings: This study was conducted at Department of General Surgery, Midland Doctors Medical Institute Tandali Muzaffarabad from July 2019 to July 2021 Material and Methods: A total of 260 cases who fulfilled inclusion criteria were enrolled in the study through wards of Department of General Surgery. Written informed consent was obtained from all the patients. Two groups were made by random division of patients. Conventional laparoscopic cholecystectomy was performed in patients of group I. Through umbilical port gall-bladder was retrieved in these patients, exactly spot on by a sterile surgical hand glove endobag. Vicryl “O” with J-shaped needle was used to close 10mm umbilical port (fascial defect) and 5mm ports were conventionally closed. In patients of group II, conventional laparoscopic cholecystectomy was performed and gall-bladder was retrieved as in patients of group I but without using surgical sterile hand glove endobag. Results: The mean age of the patients in study group was 48.09±15.402 years and in control group it was 47.51±16.48 years. Male to female ratio was 1.06:1. The post-op wound infection was found in 11 (4.23%) patients. Statistically significant difference was found in groups (P<0.05). Conclusion: The use of endoglove technique of retrieval of gallbladder in pouch after laparoscopic cholecystectomy for chronic calculus cholecystitis is safe, cheap, simple and potentially reduces significant port site wound infection compared to without endogloves. Keywords: Laparoscopic Cholecystectomy, Endoglove, Gallbladder (GB).

scholarly journals TO EVALUATE COMPLICATION OF LAPAROSCOPIC TRANSPERITONEAL PYELOLITHOTOMY FOR MANAGEMENT OF RENAL PELVIC STONES

2022 ◽  
Vol 6 (1) ◽  
Author(s):  
Bharat Thakur ◽  
Ankit Panwar ◽  
Shivek Mohan ◽  
Ved Kumar Sharma
Keyword(s):  
Postoperative Complications ◽  
General Surgery ◽  
Renal Pelvis ◽  
Low Grade ◽  
Medical College ◽  
Gandhi Medical College ◽  
Laparoscopic Transperitoneal ◽  
Antipyretic Medication

Background: To evaluate complication of laparoscopic transperitoneal pyelolithotomy for management of renal pelvic stones Methods: This study has been conducted in the Department of General surgery, Indira Gandhi Medical College, Shimla on selected patients of Renal pelvis stones admitted in institution Results: There were no major postoperative complications. Two patient developed mild low grade fever which subsided on oral antipyretic medication. One patient had a cough and one patient had ileus. Conclusion: We concluded that there were no major intraoperative or postoperative complications were seen in our study. Keywords: Laparoscopic Transperitoneal Pyelolithotomy, Pelvic stone, Complication

scholarly journals A COMPARATIVE STUDY OF KETOFOL (KETAMINE AND PROPOFOL) WITH PROPOFOL ALONE FOR RECOVERY IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Priyanka Thakur ◽  
Prteet Negi ◽  
Ajay Sood ◽  
Aparna Sharma
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Controlled Trial ◽  
Verbal Command ◽  
Medical College ◽  
Recovery Profile ◽  
Eye Opening ◽  
One Year ◽  
Gandhi Medical College ◽  
Double Blinded ◽  
Mean Time

Background: To compare the recovery in ketofol (ketamine and   propofol) with propofol alone for vas in   patients undergoing laparoscopic cholecystectomy Methods: Prospective, randomized, double blinded controlled trial. After approval by the research ethics committee and written informed valid consent of the patients, the proposed study was carried out for a period of one year in 60  patients , in ASA-I and ASA-II patients, aged between 19 to 60 years of either sex, who were  posted for laproscopic cholecystectomy surgery at Indira Gandhi Medical College, Shimla. Results: Recovery profile was statistically significant for two groups. In group P after stopping infusion ,mean time for eye opening was 8.27 ± 1.28 which was less than group K ( 12.53 ± 1.48).  Mean time of response to verbal command in group P(8.4 ± 1.19) was less than group K (12.5 ± 1.46) and mean time of extubation in group P (9.5 ± 1.25) was also less than group K (14.33 ± 1.52). Conclusion- Patients of Group P after stopping of infusion took less time for eye opening, obeying verbal command and also less time for extubation  in comparison to group K . Keywords: Recovery, Propofol, Ketamine

scholarly journals TO STUDY THE SOCIO-ECONOMIC AND CLINICAL PROFILE OF URINARY STONES PATIENTS AT INDIRA GANDHI MEDICAL COLLEGE AND HOSPITAL, SHIMLA

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Samant Negi ◽  
Vishal Prashar
Keyword(s):  
General Surgery ◽  
Young Male ◽  
Urinary Stones ◽  
World Population ◽  
Age Group ◽  
Medical College ◽  
The World ◽  
Study Population ◽  
One Year ◽  
Gandhi Medical College

Background: Urolithiasis affects about 12% of the world population at some stage in their lifetime. It affects all ages, both sexes and races but occurs more frequently in men than in women within the age of 20–49 years. Methods: The study was conducted over a period of one year from July 2017 to June 2018 in urolithiasis patients admitted in the Department of General Surgery and Urology at IGMC Shimla. Results: Study population consisted total of 100 patients (M=61, F=39). Majority of the patients were in the age group of 30-45 years (n=42). Minimum and maximum age at presentation were 11 years and 74 years respectively. Conclusion- We conclude that in our study maximum patients were young male and non- vegetarian. Keywords: Age, Sex, Non- vegetarian.

Antibiotic Prophylaxis In Prostate Biopsy: A Comparative Study Between Single Dose & Multiple Doses Of Ciprofloxacin

2020 ◽  
Vol 16 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Md Sirajul Islam ◽  
Ma Awal ◽  
Sm Mahbub Alam
Keyword(s):  
Single Dose ◽  
Antibiotic Prophylaxis ◽  
Prostate Biopsy ◽  
Multiple Dose ◽  
Dose Group ◽  
Statistical Significance ◽  
College Hospital ◽  
Medical College ◽  
Multiple Doses ◽  
Quasi Experimental

Objective: To compare the effect of single dose and multiple doses of ciprofloxacin as prophylaxis for prostate biopsy. Method and material: This was a prospective quasi-experimental study carried in the department of Urology, Dhaka Medical College Hospital over seventy patients undergoing prostate biopsy. Half of the patients received single dose of ciprofloxacin and the rest half received three doses of the same drug as antibiotic prophylaxis. Result: Two patients from single dose group and one patient from multiple dose group developed urinary tract infection without any statistical significance Conclusion: Single dose of ciprofloxacin has equal clinical and bacteriological efficacy as that of multiple doses of the same drug for prophylaxis in prostate biopsy. Bangladesh Journal of Urology, Vol. 16, No. 1, Jan 2013 p.5-10

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